A client is admitted with a blood alcohol level of 180 mg/dL. The nurse recognizes that the alcohol in the client's system should be fully metabolized within:
- A. 3 hours
- B. 5 hours
- C. 7 hours
- D. 9 hours
Correct Answer: D
Rationale: A blood alcohol level of 180 mg/dL (0.18%) typically takes about 9 hours to metabolize, assuming a metabolism rate of 0.02% per hour.
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The physician has prescribed Gantrisin (sulfasoxazole) 1 g in divided doses for a client with a urinary tract infection. The nurse should administer the medication:
- A. With meals or a snack
- B. 30 minutes before meals
- C. 30 minutes after meals
- D. At bedtime
Correct Answer: A
Rationale: Gantrisin should be taken with food to reduce gastrointestinal upset, and adequate fluid intake is needed to prevent crystalluria.
The nurse is aware that African-Americans are at higher risk than Caucasians for which of the following conditions? Select all that apply.
- A. Hypertension.
- B. Diabetes mellitus.
- C. Asthma.
- D. Skin cancer.
- E. Osteoporosis.
Correct Answer: A,B
Rationale: African-Americans have a higher risk for hypertension (A) and diabetes mellitus (B) compared to Caucasians due to genetic and socioeconomic factors. Asthma (C) risk is similar across groups, while skin cancer (D) and osteoporosis (E) are less prevalent in African-Americans.
What is the responsibility of the nurse in obtaining an informed consent for surgery?
- A. Describing in a clear and simply stated manner what the surgery will involve
- B. Explaining the benefits, alternatives, and possible risks and complications of surgery
- C. Using the nurse/client relationship to persuade the client to sign the operative permit
- D. Providing the informed consent for surgery and witnessing the client's signature
Correct Answer: D
Rationale: The nurse's role is to witness the client's signature and ensure the consent form is completed, not to explain the procedure.
A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:
- A. 1 week
- B. 2 weeks
- C. 4 weeks
- D. 6 weeks
Correct Answer: C
Rationale: Haldol Decanoate is a long-acting depot injection typically administered every 4 weeks for maintenance therapy in schizophrenia.
The nurse is caring for a client who is having surgery the next morning. The client says, 'I'm really scared about surgery. I've never been put to sleep before and I'm afraid I might not wake up.' Which response by the nurse is the most therapeutic?
- A. Why are you worried about such a minor procedure?
- B. We can call the doctor and cancel the surgery if you would prefer.
- C. It's normal to be afraid of something new like surgery. Tell me how you feel.
- D. Don't worry, you have a really good doctor and he will see to it that nothing goes wrong.
Correct Answer: C
Rationale: Acknowledging fear as normal and inviting the client to express feelings is therapeutic, fostering trust and emotional support.
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